Provider Demographics
NPI:1013716471
Name:FJORD COUNSELING LLC
Entity type:Organization
Organization Name:FJORD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-234-3293
Mailing Address - Street 1:2440 WILLAMETTE ST STE 202
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3170
Mailing Address - Country:US
Mailing Address - Phone:541-234-3090
Mailing Address - Fax:541-735-9480
Practice Address - Street 1:2440 WILLAMETTE ST STE 202
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3170
Practice Address - Country:US
Practice Address - Phone:541-234-3090
Practice Address - Fax:541-735-9480
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FJORD COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty